| NPI | 1659729903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: ID M-16895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 11018763A) |
| 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: UT 11262373-1205) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2022-11-17 |